How You Can Save on Health Costs

Rising health care costs are one of the biggest reasons many people refrain from getting medical care when they need it.  Medical care costs deter many from doing what is best for their health. The following suggestions will help you spend your health dollars more wisely.

1. Eat proper foods. This is more healthy and less expensive especially if dining out or ordering in is eliminated.  Deleting junk food reduces expenses as well.  Home cooking is better for you and less costly.
2. Keep weight stable. It is the healthy thing to do. This will save on grocery and clothing expenses as well as long term savings on medical expenses.
3. Get prescription medicines in bulk quantity of 100 versus thirty day supply especially if you are paying outright. Buy nonprescription medication in bulk when on sale. You will be amazed at your savings when you buy a six to twelve month supply on sale. This tip is also effective for emergency preparedness.
4. Talk with your doctor by phone, fax, and email to save on the cost of an office visit payment. Just think about the number of office visits you have been to where all you did was talk (after waiting for a long while). This will save your time and money.
5. Monitor blood pressure at home.  Call in, email, or fax your readings to your health care providers. Many doctors will discover that your blood pressure is actually stable when the stress of the doctor's white coat is absent. For diabetics, a home glucometer is very useful for monitoring blood sugar.
6. Maintain healthy lifestyle changes long term.
7. Do routine health maintenance check-ups and testing.  Prevention and early detection have proven cost effective and good for overall health.

Invest in your most important asset - YOU. Maintaining your good health is one of the best ways to prosper into longevity.  Best health!

Screening for Cancer

Screening tests save lives. Talk to your doctor and do your own research on tests you need and how often. What the guidelines suggest and what you need may be different.

Common screening tests for cancer include:

• mammogram and/or MRI for breast cancer
• PAP smear & HPV test for cervical cancer
• stool check for blood (fecal occult blood test, FOBT); colonoscopy, baseline at 50 for colorectal cancer
•  chest X-ray and or CT scan for lung cancer
• complete physical exam, and routine blood tests

Be sure your doctor goes over the test results with you and explains everything. Get all of your questions answered! Timely follow up with your doctor is important to prevent any delays in diagnosis and treatment.

Get a copy of your test results. This will help you understand your diagnosis and make sure all is accurate.  Research your results and diagnosis. Getting a second and sometimes tiebreaker third opinion (because you were told different things by each doctor!) is a reasonable and smart thing to do.  This offers more alternatives and insight enabling you to get the right treatment for you based on facts.

Cancer screening is a healthy thing to do.  If cancer runs in your family, get checked for it early.  Many may dissuade you based on clinical guidelines and cost. Guidelines are recommendations.  The cost for your health is priceless.  Since you are paying for it, get what you deserve and need based on your individual medical history.  The cost of prevention is usually far less than the cost of treating and living with cancer.

Best health!

Family Health: Continuity of Your Care

Your family's health is of utmost importance.  Continuity of care is disrupted all to often due to lack of communication and follow-up.  Make sure your family members have accurate information for each person,  These suggestions will help you continue your health care communication continuous with less stress:

• call your doctor's office, testing center prior to appointment to be sure all is on time as scheduled
• reschedule appointments that are over an hour late especially if it jeopardizes your health conditions (e.g. persons with diabetes, hypertension, arthritis)
• read often on your health condition
• use email, fax, postal mail if unable to reach your doctor by phone
• get copies of your medical records and reports from all doctors you see
• contact your doctors for your test results, specialists reports if you fail to get contacted within 1 week
• tell your doctor what other doctors have told you as these reports often arrive after your visit, if at all

Best health!

Family Health: Abuse Awareness

Family and domestic violence affects many millions of women, children and men worldwide.  More females and children are affected than men.  In 2011 statistics revealed that over 1.5 million women and 800,000 men were involved in intimate partner violence (IPV) in the United States alone.  Studies estimate the lifetime risk for women is an astounding 1 in 4. 

As more accounts of domestic violence are made public, one would think contact for help would be more prevalent as well.  It is in the real world.  Repeated public disclosure (video, discussion of incidents, etc.) with negative implications is less than desirable for anyone especially victims and their families. This lends to more harm than help possibly generating ideas for potential new and recurring events.

Doctors in Florida are required to complete domestic violence course to maintain licensure.  This ensures that anyone who is faced with this situation will get proper guidance and assistance.  Many doctors include questions about this on routine wellness exams.  Help and prevention of further occurrences from qualified medical professionals is of utmost importance.

Domestic violence is a very sensitive issue that affects health and well being.  It is a private matter regardless of those involved. Seeking help is of utmost importance.  Prevention, intervention and early detection are essential.  This can start in the primary care doctor’s office before it escalates to family violence and ER visits. 

Patient safety is a primary concern as is developing a safety plan. Referral to appropriate health care professionals and community-based programs helps patients with the psychological, emotional, and physical aspects of family violence.  Other resources can be found by phone or Internet as follows:

·       National Domestic Violence Hotline

        1-800-799- SAFE (7233)
          www.thehotline.org

·       National Sex Assault Online Helpline

         1-800-656-HOPE (4673)
www.rainn.org/get-help/national-sexual-assault-online-hotline

·       Institute of Safe Families

          www.instituteforsafefamilies.org

·       National Coalition Against Domestic Violence
    www.ncadv.org

·       Academy on Violence & Abuse

          www.avahealth.org

·       American Bar Association

    http://apps.americanbar.org/tips/publicservice/safetipseng.html


Keep you and your family healthy and aware that IPV and family violence is avoidable.  Educate and inform seeking help when it is needed. Abuse be it verbal or physical is harmful and unhealthy.

Asymptomatic Symptomanic Static on Routine Pelvic Exams

Guidelines for pelvic exams in women has been "updated" again.  Avoiding pelvic exams in asymptomatic, non pregnant adult women is the newest "recommended" guideline.  Could this mean that a woman who meets these criteria should refrain from routine exams until she becomes symptomatic and/ or pregnant?  If this were the case, how many women would be left out of possibly being diagnosed with a disease that was indeed asymptomatic until diagnosed on a routine pelvic exam?

In asymptomatic non pregnant females, my diagnoses have included cervical cancer in an 80 year old, ovarian cancer in a 20 year old, massive uterine fibroid tumor in a 40 year old.  The routine pelvic exam was able to detect these malignant and pre-malignant conditions before they became life threatening.  Early detection allowed these ladies to escape the perilous pitfalls of cancer.  In these cases simple surgery was the cure.  They remained asymptomatic and cancer free by continuing with their routine pelvic exam and checkup.

Without symptoms may appear to indicate a disease free state, but often times it reveals disease.  It is up to patients and their health care providers to include routine exams in their health care plan.  Routine can be yearly, every other year or two, or less frequently depending on the patients medical history.  Routine evaluation and assessment is based on each individual.

Routine pelvic exam guidelines are just that, suggested recommendations that should be considered.  For this doctor and many others, especially women, routine pelvic exams will still be part of a well woman visit as deemed necessary.  The schedule is as follows:

• 18 - 20 first pelvic exam, sooner if sexually active and/or symptomatic
• 20 - 60 pelvic exam every year to every other year unless symptomatic
• 60 - life pelvic exam every 2-3 years unless symptomatic

Routine pelvic exams and pelvic/ transvaginal sonograms together offer earlier detection and diagnosis of more gynecological diseases that can be treated effectively before they affect a woman's quality of life.  In addition, they help avoid "all in your head" misdiagnosis, and can be lifesaving.  As for the concern of "false positives" and unnecessary tests...forget about the asymptomatic symptomatic static.  Most abnormal exams and tests can be repeated and followed on a closer routine schedule that may prevent riskier intervention.  Talk with your doctor about what is best for you.  Best health!